Abstract:

Background: Social security as a form of social protection to
ensure that all people can meet the basic needs of living a
decent minimum. Positive role of government in running the
desired service function. East Lombok District government
issued a policy of health development through inpatient service
is free for everyone, it is expected that additional ultilisasi
service programs provided by the government can improve
public health degrees East Lombok better.
Objective: To find the East Lombok District government
commitment to free inpatient services at health centers and
utilization of services by the community.
Method: Exploratory case study research through in-depth
interviews.
Result: The policy of free services in Primary Health Care in
general have applied the concept of egalitarian equity but not
yet fully capable of providing optimal, resulting from terutaman
logistics system is still lacking in terms of provision of medicines
needed by patients. The availability of supporting facilities and
infrastructure such as inspection tools are still lacking and
provide free services to give the effect of increased utilization
by the public. Increased utilization is also influenced by the
pressure of public opinion that all types of diseases that require
hospitalization affect the officers inability to perform the criteria
patients should be inpatient in Primary Health Care.
Conclusion: System of free services in Primary Health Care
has not been supported by the availability of emergency drugs,
low support facilities and infrastructure and the ability of the
investigation officer in conducting the selection of patients
who require hospitalization selectively according to the criteria
of patients who are hospitalized because of public pressure.